*Complete a ride along with the Winston-Salem Police Department (requires a background check ); OR complete a ride along with the Winston-Salem Fire Department.

*Complete a group budget project.

*Participate in one of the following group tours: Utilities Division facility; bonds project tour; or shadow a City Link agent.

*Occurs outside of class time

Name

Street Address

City State and ZIP code

Home Phone

Work Phone

Cell Phone

Employer

Current Job Title

Email

Race (required)

GenderMaleFemale

Date of Birth

Highest level of education

Emergency contact name

Emergency contact phone

Community involvement and professional activities (be thorough)

Why do you want to participate in CWSU?

Upon completion of the program, how do you hope to use what you have learned?

Have you attended government meetings, and if yes, why?

Have you applied to CWSU in the past?yesno

If yes, what year?

Request CEUs (Continuing Education Credits)

CEUs are sponsored by Winston-Salem State university, a member of the UNC Higher Education System. The purpose of CEUs is to maintain licensure from certification bodies, professional societies, or governmental licensing boards. These professions may include:

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